- NTT DATA North America (San Francisco, CA)
- …to verify configuration changes work as intended. + Adhere to Change Management /Release Management Policies and Procedures such as submitting appropriate change ... various QNXT modules like Benefits, Contracts, Fee schedules, Providers, members, DOFR, Claims etc. + Minimum 1 year experience implementing Medicare DSNP Line of… more
- HUB International (Newport Beach, CA)
- …professionals play a vital role in supporting our clients with day-to-day account management , claims management , and underwriting services that ensure they ... maintains strong carrier relationships, and understands client needs. + Manages claims and coverage issue resolution for clients' employees when elevated from… more
- Kemper (Bakersfield, CA)
- …collaborating with peers in the sales organization, State Product Managers, Claims , Agency Support and Licensing, Marketing, and Customer Service/Underwriting. + The ... + Bilingual a plus. + Working knowledge of insurance operations: underwriting, claims , marketing, and product. + Must have and maintain an acceptable driving… more
- Utilities Service, LLC (Redding, CA)
- …ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs,deadlines, and safety protocols to enforce ... Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance (Medical/ Dental /Vision) + Employee Assistance Program + Life, long-term/short-term disability… more
- Robert Half Legal (San Francisco, CA)
- …with paralegals and legal assistants to ensure timely and organized case management . + Assist with litigation preparation as needed, including drafting pleadings and ... coordinating with experts and investigators. + Advise on claims handling and negotiation strategies with insurance carriers. Requirements Qualifications + Licensed… more
- Sedgwick (Long Beach, CA)
- …staffing activities within a designated region and partners with Operational management to implement timely, cost-effective initiatives aligned with regional and ... a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Kyndryl (Sacramento, CA)
- …Electronic Medical Record, Imaging, Medical Device Integrations, Contact Centers, Claims , Provider, Sales, cloud-based solutions), emerging technologies (eg, AI/ML, ... Medical Record, Imaging, Medical Device Integrations, Contact Centers, Payer, Claims , Provider cloud-based solutions, or custom cloud applications. + Demonstrated… more
- Clay Lacy Aviation (Van Nuys, CA)
- …escalation point for sensitive payroll issues, wage disputes, and labor claims , providing strategic counsel and documentation to mitigate legal and financial ... values, workforce goals, and evolving needs. + Oversee vendor management , contract negotiations, and service-level agreements to ensure high-quality, cost-effective… more
- Elevance Health (Los Angeles, CA)
- …+ Coordinates prompt claims resolution through direct contact with providers, claims , pricing and medical management department. + Identifies and reports on ... years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would provide an… more
- Gilead Sciences, Inc. (Foster City, CA)
- …training programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead ... international healthcare compliance laws and standards (eg, Anti-Kickback Statute, False Claims Act, Sunshine Act, GDPR) and other applicable standards. +… more
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